If you've been having a trouble performing in the bedroom lately—or just aren't feeling sexually motivated—the reason may be linked to the medication you're taking. The FDA just released a warning that the popular hair-loss drug Propecia and also the BPH drug Proscar used to shrink enlarged prostates could lead to infertility—and cause a whole host of sexual side effects not previously discovered. Propecia may lead to a loss of sexual desire, inability to ejaculate and difficulty reaching orgasm; Proscar is said to cause loss of sexual desire, which may continue for some time after you stop using it.
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Drug information provided by: IBM Micromedex. Note: Women who are pregnant or may become pregnant should not use finasteride or handle the crushed or broken tablets. Finasteride can cause birth defects in male babies.
There have been several published reports that confirm Propecia can suppress sperm quantity and quality. However the affect of the drug on fertility is reversed after you stop taking it. Most reports suggest that the negative affect is largely reduced after 3 months off the drug, and continues to improve up to 6 months off the drug.
Men using finasteride to treat baldness had a dramatic increase in sperm count following discontinuation of the drug, according to a review of records at male infertility clinic. Average sperm count increased fourfold and by as much as fold when the men stopped using the low-dose finasteride product, according to Keith Jarvi, MDof Mount Sinai Hospital and the University of Toronto, and co-authors. None of the patients had a decrease in sperm count after stopping finasteride.
A study that analyzed sperm samples from nearly 43, men from around the world over a few decades found that sperm counts have dropped by more than half over the last 40 years. Although the definitive cause is unknown and additional research is needed to find the cause of the drastic decline in sperm countsresearchers have identified some habits and health conditions that may cause a decrease in sperm production. The Cleveland Clinic notes that 5-alpha-reductase inhibitors used to treat prostate enlargement and hair loss such as finasteride, dutasteride, and propecia, can reduce one's volume of semen and number of sperm within their semen.
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Called finasteride, the drug works by decreasing levels of a natural body hormone DHT. This decreases growth of the prostate and can also increase hair regrowth or slow hair loss. Given that many men of reproductive age may be using finasteride to slow hair loss, researchers felt its impact on fertility deserved closer scrutiny.
Men who wish to father a child should talk to their doctor before starting a new medication or having any treatments. Non-FDA approved male fertility supplements may be widely advertised as fertility enhancers but they have not been scientifically evaluated and may cause harm. Before you take any supplements it is important to discuss it with a healthcare provider. Men who are having trouble fathering a child should speak to their doctor about the medications they are taking, and the possible need for semen tests.